Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Lopez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255915047

Nicole Lopez is a Student in an Organized Health Care Education/Training Program in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2021.

Licensed in
ID
In the registry since
2021
Specialties on file
2

Practice location Address checks out

921 S 8th Ave Stop 8253
Pocatello, ID 83209-0002
Phone: (208) 282-4726
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (ID)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1255915047
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2021
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing address921 S 8th Ave Stop 8253, Pocatello, ID 83209-0002

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